To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge-org.demo.remotlog.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This paper focuses on diplomatic training as a site for exploring the tensions in late colonialism around sovereignty and self-government. Training for the diplomats of soon to be independent states was understood by imperial governments as an ambiguous issue in this period immediately pre-independence: it offered the potential for the former metropole to sustain power and influence within a rapidly changing world, whilst at the same time challenging the very foundations of imperialism by empowering the diplomats of soon to be independent African states. Drawing on archives in France, the UK, and the US, as well as a newly recorded oral history interview with one of the first cohort of Ghanaian trainees, we focus on the development of diplomatic training from ad hoc responses to requests to a more formalised programmes provided by imperial powers and the United States, and tensions and competition between providers and over the content of the courses. We focus primarily on the Gold Coast/Ghana, contextualised within wider experiences of African colonies in both the British and French empires. We demonstrate that training for diplomats provides novel insights into the temporalities, spatialities, and agency that characterised the late colonial state.
Few studies have examined the effects of early-life nutrition interventions on adolescent physical activity (PA). We aimed to examine the long-term effects of small-quantity lipid-based nutrient supplements (SQ-LNS) on adolescent PA and sedentary behaviour (SB) and to describe current adolescent PA and SB levels in this cohort. In the International Lipid-Based Nutrient Supplements (iLiNS)-DYAD-Ghana trial, 1320 mothers were enrolled and randomly assigned to one of three conditions: (1) daily iron and folic acid during pregnancy and placebo (calcium) from birth to 6 months postpartum (IFA), (2) multiple micronutrient supplements during pregnancy to 6 months postpartum (MMN) or (3) SQ-LNS during pregnancy to 6 months postpartum (LNS). Infants from mothers in the LNS group received SQ-LNS designed for children from 6 to 18 months. We recruited 11–13-year-old adolescents of mothers enrolled in the iLiNS-DYAD-G trial for a 7-d PA and SB assessment using accelerometers (n 305) and self-reported PA and SB (n 508). We compared the LNS with non-LNS (IFA+MMN) groups using ANCOVA models for the following outcomes: mean vector magnitude counts per minute, PAQ-C score and percentage of time in SB, light PA and moderate-to-vigorous PA (MVPA). There were no significant differences between the LNS and non-LNS groups in any PA outcome in minimally or fully adjusted models. Only approximately 50 % of adolescents met the PA recommendation of 60 min/d MVPA, with males more active than females; however, there is room for improvement. SQ-LNS in early life does not appear to have a sustained impact on PA or SB.
While migration can provide economic opportunities and remittances for rural households, it may also lead to loss of skilled labor and disrupt farm operations. This study examines the impact of rural-urban migration on technical efficiency in Ghana, using robust methodology that combines propensity score matching with a difference-in-differences, selectivity-corrected stochastic frontier model. Analysis is based on panel data from 1,056 farm maize households. Results show that migration significantly improves technical efficiency and maize output. Migration history, farm characteristics, and education shape this relationship. Strengthening extension services and promoting the best farming practices are vital for improving smallholder productivity and efficiency.
The Climate Vulnerable Forum (CVF) and the V20 group of finance ministers address climate change impacts on vulnerable countries. This chapter introduces the interconnectedness of climate justice, economic resilience, and sustainable development. It highlights personal stories, such as Victor Yalanda from Colombia and Jevanic Henry from Saint Lucia, who share their experiences of climate change’s impacts on their communities — covering both the economic loss and the emotional devastation caused to communities. We introduce the CVF’s Climate Vulnerability Monitor — a unique study of the impacts of climate change, including fresh modelling, covering biophysical, economics and health projections up to 2100. The global community via COP27 and COP28 have agreed on the urgency of both adaptation and mitigation strategies. Yet the speed of change is not sufficient. The fate of today’s most vulnerable will soon be the fate of the world.
Despite coastal regions’ importance and vulnerability to climate change, Ghana’s coasts remain underexplored through social-ecological systems (SES) approaches, with limited attention to Indigenous and local communities’ adaptive responses to contemporary challenges. We conducted a study with the aims of (1) identifying the changes in coastal SES as perceived by the Akplabanya community and (2) examining the Akplabanya community’s human adaptation responses to those changes. During two months of fieldwork in Akplabanya, we used four data collection methods: participant observation, semi-structured interviews, key informant interviews, and focus group discussions. We found social-ecological changes related to five themes: (i) coastal climate change (sea-level rise), (ii) resource change (changes in land use), (iii) agrobiodiversity loss (changes in livestock), (iv) pollution (unsustainable practices) and (v) population change (increasing population). As adaptation responses to these changes, the community adaptive responses we found were (a) place (sense of place), (b) agency (emergence of food markets), (c) Indigenous and local knowledge (weakening of Indigenous knowledge), (d) collective action (collective solutions), (e) institutions (partnerships) and (f) learning (awareness). Our study highlights the urgent need for targeted research in regions like Ghana to guide and improve adaptation policy interventions for scientists, policymakers and researchers.
Rivers act as long-term plastic storage and a pathway for land-based plastic pollution into the ocean. Monitoring river plastic at a global scale remains challenging, with only limited large-scale and long-term monitoring efforts to date. Citizen science approaches may ensure a more continuous basic knowledge of plastic pollution in rivers, which can be used to assess the efficacy of reduction measures. We evaluated the suitability of several river plastic monitoring methods for citizen science, through field monitoring and a subsequent survey with citizen scientists in Accra, Ghana. Four measurement techniques (visual counting, macroplastic net sampling, microplastic net sampling and hydrometric measurements) were tested in the field and evaluated by citizen scientists. The visual counting method, used to estimate floating macroplastic transport, emerged as the most promising method for citizen science–based river plastic monitoring. Using the data collected by citizens, we quantify the variability in transport and concentration of both macroplastic and microplastic.
A local food-based approach, including school lunch with multiple-micronutrient fortified biscuits (MMB) as supplementary snacks, may enhance dietary adequacy, although current evidence remains limited. This study assessed nutrient inadequacies and developed food-based dietary recommendations (FBR) incorporating school lunch from the Ghana School Feeding Programme (GSFP) and MMB. Data from 292 girls aged 10–17 years, enrolled in the Ten2Twenty-Ghana study was analysed. Dietary intake was assessed via a quantitative 24-h dietary recall. Usual intakes were estimated using the National Cancer Institute method. Linear programming with Optifood was used to develop FBRs based on commonly consumed foods (≥5% of participants) and their median serving sizes, intake frequency, nutrient content, and cost per 100 g. Constraints included estimated energy needs and harmonised average nutrient requirements. The mean usual energy intake was 2351 (sd 66) kcal/d. Ca (99·8 %), vitamin B12 (99·8 %), riboflavin (96·2 %), vitamin A (91·5 %), vitamin C (87·6 %), Fe (73·7 %), folate (49·3 %) and Zn (8·5 %) inadequacies were prevalent. Optimised diets achieved adequacy for protein and most micronutrients, except Ca and vitamin B12, besides vitamin A for 15–17-year-old girls. School lunch from the GSFP did not enhance micronutrient levels when added to the daily diet. Adding MMB to the daily diet ensured adequacy for vitamin C, riboflavin and Fe, although marginal for Fe. Ca and vitamin A improved substantially with MMB for girls aged 15–17 but remained below the harmonised average requirements. Integrating regular school lunch with specialised fortified foods may be a cost-effective strategy to enhance dietary adequacy for adolescent girls in rural areas.
In the recent case of Ezuame Mannan v Attorney General and Speaker of Parliament,1the Ghanaian Supreme Court in a 5-4 decision struck down the Narcotics Control Commission Act, 2020 (Act 1019), on grounds that the parliamentary processes leading to its enactment were unconstitutional. In arriving at this decision, the court strived to define the limits of Parliament’s legislative powers. While some clarity was achieved, difficult contradictions emerged. Prominent among these was the extent to which the constitutional power of judicial review over legislative actions should interfere with the autonomy of Parliament. In this article, I propose that a proper understanding and application of the purposive approach to interpretation offers an effective tool for reconciling these seemingly conflicting constitutional values.
This article offers the first gendered history of African radio audiences. It uses a comparative approach to demonstrate that colonial development projects in Ghana and Zambia successfully created mass African audiences for radio between the 1930s and 1950s, at a time when most radio sets on the continent were owned by white settlers. However the gendered impact of the projects was uneven. In Zambia the promotion of battery-operated wirelesses inadvertently created a male-dominated audience, while the construction of a wired rediffusion system in Ghana attracted equal numbers of male and female listeners. Ghana’s radio project offers new perspectives on the history of colonial development as a very rare example of a scheme that benefitted women as much as men. Differences in the voice of Ghanaian and Zambian radio also reveal that these early radio schemes had a lasting influence on broadcast content and listening culture in both countries beyond the 1950s.
This chapter examines two Ghanaian health programs which embodied many ideas and practices of social medicine. The first is a system of village clinic-dispensaries which was built by chiefs and the communities whom they represented, providing treatment and advice to thousands of outpatients. The second is the Medical Field Units (MFUs), which arose from 1945, serving extensive rural areas that lay beyond the reach of both the colonial and early post-independence states. Their successes were recognized by the first government of independent Ghana and after independence in 1957, the MFU program was expanded countrywide and became central to the continued provision of basic health services when other parts of the national health system collapsed. However, ideologies of reduced welfare and severe austerity during Adjustment caused the closing-down of the program in the early 1990s. The chapter relates the evolution of the MFU program to social histories of individual advocacy, healthcare reforms from colonialism to independence, and shifts in internationally circulating economic beliefs regarding the role of welfare and the state.
Drawing on newspaper articles and oral histories, this paper provides an initial sketch of some of the issues at stake within the Ga community in Accra, focusing on the founding of the Ga Shifimo Kpee, a nationalist movement founded at the heart of the first President Kwame Nkrumah’s new capital and the seat of his own power in the new country. Rather than providing a definitive account of the Shifimo Kpee, this article highlights the ways in which foundational published accounts have sometimes inhibited a richer understanding of this period and analyzes primary sources to point to new avenues of interrogation.
The effects of rainfall and temperature on the seasonal phenology of ant nuptial flights in a forest locality in Ghana was studied for 42 months using a light-trap. A total of 204393 ants was caught. Of the 135 species/morphospecies collected, 40 could not be identified beyond genus, and males of a further 14 beyond subfamily. The commonest 65 species/morphospecies flew a mean of 10.1 ± 0.4 months per year. With the exception of males of Dorylus atriceps, Platythyrea conradti, Plat. modesta, Crematogaster nr striatula plus gynes of Plagiolepis brunni and Cr. [F257], whose peak flights occurred in the main dry season, flight activity coincided with the onset of the rainy seasons. Both sexes of Pheidole megacephala, P. speculifera, Tetramorium aculeatum, and Paraparatrechina albipes plus gynes of Cr. striatula and males of Anochetus africanus, Hypoponera dulcis, Cr. kneri, and T. guineensis flew more frequently on rainy than dry dates. Nineteen species were caught more frequently on dry than on wet dates including most Camponotus, Tapinoma, and Technomyrmex spp. Fifteen species/morphospecies responded positively to increasing monthly rainfall, six to increasing monthly temperatures, and five to the interaction between these factors, with males of A. pellucidus, H. dulcis, and Cr. striatula caught more frequently in wetter, warmer months, and those of Camponotus olivieri and Technomyrmex andrei in drier, warmer ones.
Understanding adolescents’ diet and eating behaviours is crucial for informing public health strategies and policies, allowing interventions to be tailored effectively to enhance dietary patterns and improve overall health and quality of life. This study examined dietary patterns, dietary diversity, eating habits, food choice and the factors influencing these among adolescent girls in the Mion District, Ghana. A convergent parallel mixed-method design employing in-depth interviews (n = 30), two focus group discussions (n = 10) and survey data from 882 mother-daughter pairs was used. Key findings indicate that approximately 90% of girls achieved the minimum dietary diversity for women of reproductive age (MDD-W), with most consuming three meals daily. Staples were eaten daily, while fruits and unhealthy foods were less frequently eaten. Moderate/severe food insecurity was negatively associated with the MDD-W, whereas larger household size was positively correlated with the MDD-W. Older girls were less likely to eat breakfast, while household crop farm diversity increased the odds of eating supper on weekends. Moderate/severe food insecurity was inversely associated with intake of animal-sourced foods (ASFs), fruit, and unhealthy foods but positively correlated with vegetable consumption in the past month. Maternal non-literacy was linked to a lower intake of unhealthy foods, while specific ethnic backgrounds negatively influenced ASF intake. Wealthier households demonstrated higher consumption of staples. Qualitatively, health considerations, availability, taste, and cravings were major influencers of food choices. Food aversions were often tied to intolerance, fatigue from consuming the same foods repeatedly, and preferences related to taste and texture. These findings underscore the need for targeted nutritional interventions considering socio-economic and household factors to improve adolescent girls’ dietary habits and overall health.
The methods of economic evaluation and HTA should be based on best practices and standards, tailored to unique country contexts that can be systematically applied to inform decisions. This paper outlines standards for the conduct of economic evaluations for HTA in Ghana.
Methods
A five-step process was followed to develop the HTA reference case as a methodological and reporting benchmark. These include (a) a review of literature and evidence synthesis, (b) a review of country policies, (c) a review and adaption of international frameworks, (d) expert/stakeholder consultations, and (e) the development of a methodological framework. A series of stakeholder consultations were done to refine, finalize, and validate the outcomes of the processes to generate a finalized reference case.
Results
The Ghana reference case is made up of 14 components comprising: evidence synthesis, evaluation type, perspectives on cost, perspectives of outcomes, choice of comparator, data sources, outcome measures, discount rate, uncertainty, equity considerations, time horizon, heterogeneity, transparency, and budget impact. These provide methodological considerations and reporting requirements for economic evaluations for HTA. It provides a framework to ensure the best research methods are adopted to harmonize the evidence-generation process with the expectations of policy and decision-makers and ensure that policy decisions are based on uniform evidence.
Conclusion
Recommendations set out in this reference case when followed can provide context-specific evidence to support a rigorous and transparent system for evaluating healthcare interventions and technologies. It will support decision-making, ultimately improving the quality and efficiency of healthcare delivery in the country.
This article critically examines the antislavery activism of Francis P. Fearon, an African activist based in late nineteenth-century Accra. His correspondence with the Aborigines’ Protection Society (APS) provides a profound insight into the dynamics of African abolitionism. By analysing a collection of letters housed in the APS archive, this study sheds light on Fearon’s commitment to abolishing slavery, driven by his principled opposition to family separation. The article underscores Fearon’s active involvement in a network of African antislavery advocates who sought to disrupt the institution of slavery through legal challenges and international advocacy. This research extends the growing literature on African abolitionism, which primarily focuses on the efforts of African missionaries, educated elites, and grassroots movements, adding a new dimension by exploring the operations of a dedicated network committed to the abolitionist cause.
In 2019, the Ghanaian Ministry of Education set forth a new curricular framework for pre-primary education, which specifies a child-centred approach to learning and highlights the importance of creative and play-based learning. Despite being a significant event in the history of pre-primary education, teacher-centred didactic classroom practices are still prevalent after two years of implementation. Research shows that the lack of resources is one of the reasons for teachers’ inability to adopt play-based activities. However, evidence also strongly points to the fact that the majority of teachers do not possess the pedagogical skills to support children’s learning through play. The author of this chapter has been involved in researching teachers’ attitudes and perceptions to play-based learning in Ghana anddraws out the reasons why teachers are unable to successfully integrate play into their activities, focusing on teacher development (i.e. teacher training) and how this can interact with other factors to improve teacher performance in adopting play.
Menarche and pubertal onset vary across populations but understanding age-at-menarche (AAM) and pubertal growth tempo is limited in low-income settings. Identifying factors influencing pubertal development is vital for creating targeted health and education programmes supporting adolescent girls’ well-being. Baseline data (n = 1045) from the Ten2Twenty-Ghana study were analysed to examine menarche attainment, pubertal development, AAM, and the associated factors among girls aged 10-17 years in the Mion district, Ghana. The data collection methods included anthropometry, body composition, haemoglobin status, a qualitative 24-hour dietary recall, a food frequency questionnaire, and a pubertal development score (PDS). Binary logistic and linear regression analyses were used to model odds ratios for menarche attainment and regression coefficients for AAM and PDS. About 19.9% of the girls had experienced menarche, with a mean AAM of 13.4 ± 1.5 years. Among post-menarche girls (n = 205/1045), 12.2% and 15.1% experienced early (AAM < 12 years) and late menarche (AAM < 15 years), respectively. The mean PDS was 1.8 ± 0.7 out of 4. Among the adolescent girls, 36.2% were prepubertal, 17.0% early –pubertal, 18.6% mid-pubertal, 27.9% late pubertal, and less than 1% were in the post-pubertal stage. An increase in fat mass (FM), fat-free mass (FFM), height-for-age-z-score (HAZ), and body mass index-for-age-z-score (BAZ) was observed with puberty progression, but a steep decline in HAZ was noticed for girls in late puberty, increasing again post-puberty. Being older (adjusted odds ratio (AOR) = 2.06, 95% C.I.: 1.83, 2.31), stunted (AOR= 0.20, 95% C.I.: 0.10, 0.40), thin (AOR = 0.30, 95% C.I.: 0.11, 0.80), and overweight/obese (AOR = 7.29, 95% C.I.: 2.60, 20.43) were the significant predictors of menarche attainment. Being older (β = 0.39, P < 0.0001), stunted (β= -0.92, P = 0.01), thin (β = 1.25, P = 0.01), and having a literate mother (β = -0.72, P = 0.03) were significantly associated with AMM. A higher HAZ, FM, FFM, age, and Konkomba ethnicity were positively associated with higher PDS. This study highlights the complexity of factors influencing menarche and pubertal development. These insights are essential for developing targeted health and educational programmes that address nutritional and socio-demographic disparities to promote adolescent girls’ well-being and healthy pubertal development.
Bus stations are among the most prominent sites of social and economic activity in Africa. Integral to transport, trade, and exchange over distance, they provide livelihoods for large numbers of people. Through a detailed ethnography of one of Ghana's busiest long-distance bus stations, Michael Stasik explores the dialectical relationship between the ways in which people make the station work and how the station shapes popular economic engagement and social life. Drawing on a dual understanding of 'hustle' as a distinct mode of economic activity and organisation, as well as a marker of complex and sometimes bewildering situations, Stasik challenges dominant views of transport work in urban Africa, especially those wedded to generic notions of 'informality'. Bus Station Hustle offers a nuanced anthropological perspective on the hands-on work in and the institutional workings of an infrastructural hub of mobility and exchange. This title is also available as Open Access on Cambridge Core.
This paper explores the characteristics of Ghanaian households’ consumption of obesogenic versus protective foods, including their retail, distribution, and origin.
Design:
A household food consumption survey was conducted using an adapted Prospective Urban and Rural Epidemiology study Food Frequency Questionnaire. Product pathways for selected obesogenic (processed meat, Sugar-Sweetened Beverages, and biscuits) and protective (cooked vegetables, legumes, and fish) foods were traced from retailers through distributors/wholesalers to producers.
Setting:
Rural and urban communities in the Ashanti Region and selected retail/wholesale/producers nationwide.
Participants:
612 households, 209 retailers and 185 wholesalers/distributors.
Results:
About 20% of households consume Sugar-Sweetened Beverages (SSB) and confectionery weekly, and just 2% consumed processed meat. Of the protective foods, fish had the highest proportion of households consuming weekly (74.5%), followed by cooked vegetables (53.1%) and legumes (22.8%). Frequent SSB consumption is higher in younger (p<0.001), male (p=0.010), urban (p<0.001), and more educated (p<0.001) food purchaser households. Below 10% of households followed the healthiest dietary pattern (high-protective-and-low-obesogenic) but higher in older and more educated food purchaser households. In contrast, most households (about 80%) consumption patterns did not discriminate between obesogenic and protective foods. Generally, characteristics of purchasers from retail/wholesale outlets agree with those of households, where obesogenic foods were retailed to younger, less educated buyers than older, more educated ones. While the protective foods had a strong local producer presence, the obesogenic foods were predominantly imported.
Conclusion:
Household consumption and retail/distribution of obesogenic foods are associated with socio-demographic characteristics, but obesogenic foods are almost entirely produced outside Ghana. Policies that regulate importation on health grounds can promote a healthier food environment.
This short report discusses the resources to be found in the Railway Archive in Sekondi-Takoradi, Ghana. This report is also the result of various exploratory missions, as part of a cooperative effort between the Ghana Railway Company, the Institute of African Studies of the University of Ghana, and the International Institute of Social History, the Netherlands. The archive under consideration is classified as an institutional archive which provides unique insights into the social and labor history of Ghana– then Gold Coast– with some connections to West Africa and Great Britain. The archives provide additional material to the resources in the national archives in Ghana, best known as the Public Records and Archives Administration Department (PRAAD).